NDC 00065-8063-01
Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
DEXTRAN 70-HYPROMELLOSE (PF) 0.1 %-0.3 % EYE DROPS IN A DROPPERETTE
Low
$31
Average
$249
Median
$258
High
$448
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Reflects a negotiated flat case rate paid per episode of care, rather than itemized charges.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Boston Children's Hospital Boston, MA | $31 | $31 | — | — | 172 | $22 – $42 |
| 2 | OU Health - University of Oklahoma Medical Center Oklahoma City, OK | $448 | $448 | — | — | — | $448 – $448 |
| 3 | The Queens Medical Center Ewa Beach, HI | $258 | $258 | — | — | — | $258 – $258 |
| 4 | The Queens Medical Center Wahiawa, HI | $258 | $258 | — | — | — | $258 – $258 |
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